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| Endoscopic papillary large balloon dilation with or without sphincterotomy for large bile duct stones removal: Short-term and long-tem outcomes |
| Tao Yu a , Yan-Qiu Yue b , Jian Chen a , Hong-Bao Ren a , Rui Ji a , Bao-Quan Cheng a , ∗ |
a Department of Gastroenterology, Qilu Hospital, School of Medicine, Shandong University, Jinan 250012, China
b Department of Gastroenterology, Binzhou People’s Hospital, Binzhou 256610, China
∗ Corresponding author
E-mail address: drcbq@163.com (B.-Q. Cheng). |
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Abstract Simplifying the endoscopic procedures and reducing the procedure time are necessary, while guaranteeing that the stone retrieval efficacy is an important prerequisite for minimizing the risk of complications after endoscopic retrograde cholangiopancreatography (ERCP). Compared with endoscopic sphincterotomy (EST), which can effectively extract common bile duct stones, endoscopic papillary balloon dilatation (EPBD) causes less bleeding and perforation and preserves the function of sphincter of Oddi [1,2]. However, in comparison with EST, EPBD is related to a higher risk of pancreatitis [2,3]. Retrieving large bile duct stones ( ≥10 mm) using the conventional techniques EST and EPBD is difficult. The use of EST combined with endoscopic papillary large balloon dilation (EPLBD) for bile duct stone removal was first introduced by Ersoz et al. [4], and this innovation has become useful in patients with large or difficult stones. In addition, removing the bile duct stones should be considered urgent. Especially, EPLBD procedure is appropriate for patients with unfavorable anatomy for EST, such as those who underwent Roux-en-Y or Billroth II gastrectomy [5].
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2020, Vol. 19 
